Provider Demographics
NPI:1710344528
Name:ACE CARE GIVING SERVICES CENTRAL
Entity Type:Organization
Organization Name:ACE CARE GIVING SERVICES CENTRAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MISS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:B
Authorized Official - Last Name:FILIPINAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-308-5474
Mailing Address - Street 1:534 N HAMILTON ST
Mailing Address - Street 2:P O BOX 478
Mailing Address - City:CHURCH POINT
Mailing Address - State:LA
Mailing Address - Zip Code:70525-2025
Mailing Address - Country:US
Mailing Address - Phone:337-308-5474
Mailing Address - Fax:
Practice Address - Street 1:534 N HAMILTON ST
Practice Address - Street 2:
Practice Address - City:CHURCH POINT
Practice Address - State:LA
Practice Address - Zip Code:70525-2025
Practice Address - Country:US
Practice Address - Phone:337-308-5474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-25
Last Update Date:2016-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA2203782580253Z00000X
LA14048253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1186571Medicaid
LA1821039Medicaid
LA1820911Medicaid
LA1024562Medicaid